Abstract | OBJECTIVE: METHODS: Ninety-three subjects with adhesive capsulitis of <1 year's duration were randomized to 1 of 4 treatment groups: group 1, corticosteroid injection ( triamcinolone hexacetonide 40 mg) performed under fluoroscopic guidance followed by 12 sessions of supervised physiotherapy; group 2, corticosteroid injection alone; group 3, saline injection followed by supervised physiotherapy; or group 4, saline injection alone (placebo group). All subjects were taught a simple home exercise program. Subjects were reassessed after 6 weeks, 3 months, 6 months, and 1 year. The primary outcome measure was improvement in the Shoulder Pain and Disability Index (SPADI) score. RESULTS: At 6 weeks, the total SPADI scores had improved significantly more in groups 1 and 2 compared with groups 3 and 4 (P = 0.0004). The total range of active and passive motion increased in all groups, with group 1 having significantly greater improvement than the other 3 groups. At 3 months, groups 1 and 2 still showed significantly greater improvement in SPADI scores than group 4. There was no difference between groups 3 and 4 at any of the followup assessments except for greater improvement in the range of shoulder flexion in group 3 at 3 months. At 12 months, all groups had improved to a similar degree with respect to all outcome measures. CONCLUSION:
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Authors | Simon Carette, Hélène Moffet, Johanne Tardif, Louis Bessette, Frédéric Morin, Pierre Frémont, Vivian Bykerk, Carter Thorne, Mary Bell, William Bensen, Caty Blanchette |
Journal | Arthritis and rheumatism
(Arthritis Rheum)
Vol. 48
Issue 3
Pg. 829-38
(Mar 2003)
ISSN: 0004-3591 [Print] United States |
PMID | 12632439
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Triamcinolone Acetonide
- triamcinolone hexacetonide
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Topics |
- Bursitis
(physiopathology, therapy)
- Combined Modality Therapy
- Disability Evaluation
- Exercise Therapy
- Female
- Humans
- Injections, Intra-Articular
- Male
- Middle Aged
- Pain Management
- Range of Motion, Articular
- Severity of Illness Index
- Shoulder Joint
- Treatment Outcome
- Triamcinolone Acetonide
(administration & dosage, analogs & derivatives, therapeutic use)
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